The Division of Diabetes, Clinical Nutrition and Endocrinology, Kansai Electric Power Hospital, 2-1-7 Fukushima, Fukushima-ku, Osaka 553-0003, Japan.
Prog Biophys Mol Biol. 2011 Nov;107(2):248-56. doi: 10.1016/j.pbiomolbio.2011.07.010. Epub 2011 Jul 28.
Gastric inhibitory polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) are the two primary incretin hormones secreted from the intestine upon ingestion of glucose or nutrients to stimulate insulin secretion from pancreatic β cells. GIP and GLP-1 exert their effects by binding to their specific receptors, the GIP receptor (GIPR) and the GLP-1 receptor (GLP-1R), which belong to the G-protein coupled receptor family. Receptor binding activates and increases the level of intracellular cAMP in pancreatic β cells, thereby stimulating insulin secretion glucose-dependently. In addition to their insulinotropic effects, GIP and GLP-1 have been shown to preserve pancreatic β cell mass by inhibiting apoptosis of β cells and enhancing their proliferation. Due to such characteristics, incretin hormones have been gaining mush attention as attractive targets for treatment of type 2 diabetes, and indeed incretin-based therapeutics have been rapidly disseminated worldwide. However, despites of plethora of rigorous studies, molecular mechanisms underlying how GIPR and GLP-1R activation leads to enhancement of glucose-dependent insulin secretion are still largely unknown. Here, we summarize the similarities and differences of these two incretin hormones in secretion and metabolism, their insulinotropic actions and their effects on pancreatic β cell preservation. We then try to discuss potential of GLP-1 and GIP in treatment of type 2 diabetes.
胃抑制多肽(GIP)和胰高血糖素样肽-1(GLP-1)是肠道在摄入葡萄糖或营养物质后分泌的两种主要的肠促胰岛素激素,可刺激胰岛β细胞分泌胰岛素。GIP 和 GLP-1 通过与它们各自的特异性受体(GIP 受体(GIPR)和 GLP-1 受体(GLP-1R))结合发挥作用,而这些受体属于 G 蛋白偶联受体家族。受体结合激活并增加胰岛β细胞内的环腺苷酸(cAMP)水平,从而刺激葡萄糖依赖性胰岛素分泌。除了具有胰岛素促分泌作用外,GIP 和 GLP-1 还被证明可通过抑制β细胞凋亡和增强其增殖来保护胰岛β细胞的数量。由于这些特点,肠促胰岛素激素作为治疗 2 型糖尿病的有吸引力的靶点越来越受到关注,事实上,基于肠促胰岛素的治疗方法已经在全球范围内迅速传播。然而,尽管进行了大量严格的研究,但 GIPR 和 GLP-1R 激活如何导致葡萄糖依赖性胰岛素分泌增强的分子机制在很大程度上仍不清楚。在这里,我们总结了这两种肠促胰岛素激素在分泌和代谢、胰岛素促分泌作用及其对胰岛β细胞保护作用方面的异同。然后,我们尝试讨论 GLP-1 和 GIP 在治疗 2 型糖尿病方面的潜力。